| NPI | 1356415699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BUCK Pharmacy Manager 206-288-6944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00056846) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-04-22 |